咨詢描述：您好！我家雪納瑞女寶今年12歲了，14斤重，近段時間它不想動，偶爾會弓背，有時候抱起它時會疼得叫起來。昨天去做了B超顯示它有膀胱結石和卵巢囊腫，肝開始液化，但檢驗報告上顯示肝功能沒異常，就是膽固醇高了兩倍，醫(yī)生只開了護肝藥沒開降膽固醇的藥，不知道是他那里沒有藥還是怎么，我想問下現(xiàn)在該加些什么藥呢？？急盼回復，謝謝你！

回復總結：老年犬弓背，肯定是疼痛因素引起的，認為更大的可能性有藥會有骨質增生的問題，特別是脊柱椎體的骨質增生或者椎間盤突出的情況。所以在給狗狗使用化結石藥物的同時，會建議使用非甾體類抗炎鎮(zhèn)痛的藥物，目前在臨床上，基本上沒有使用有降膽固醇的動物專用藥，老年動物很多都會有膽固醇指標升高的問題。然后，這段時間可以給寶貝控制脂肪的攝入量，盡量進食低脂易消化的食物，慢慢地膽固醇升高的問題會有明顯的改善。

主人您好，寶貝有12歲了，有弓背的癥狀，肯定是疼痛因素引起的，我認為更大的可能性有藥會有骨質增生的問題，特別是脊柱椎體的骨質增生或者椎間盤突出的情況，所以在給寶貝使用化結石藥物的同時，會建議使用非甾體類抗炎鎮(zhèn)痛的藥物，目前在臨床上，基本上沒有使用有降膽固醇的動物專用藥，老年動物很多都會有膽固醇指標升高的問題，包括我們人也同樣一樣，這段時間可以給寶貝控制脂肪的攝入量，盡量進食低脂易消化的食物，慢慢地膽固醇升高的問題會有明顯的改善。 我不確定醫(yī)生有沒有給寶貝使用溶解結石的藥物以及非甾體類抗炎鎮(zhèn)痛藥物，同時可以使用保護骨關節(jié)的軟骨素。

醫(yī)生沒開鎮(zhèn)痛藥，溶石方面我給它吃瑞輝的淋石通，醫(yī)生建議我用人用的淋石通試試，我給它吃了幾天人用的。它現(xiàn)在肝功正常，能證明它的肝臟正常嗎？卵巢囊腫能吃藥處理嗎？畢竟它這年紀動手術風險實在太高?，F(xiàn)在都搞不清它是結石痛還是卵巢囊腫痛，聽那醫(yī)生說得它好像就是治療都沒意義了，隨便開了兩盒護肝藥，但我不想放棄。

肝功能指標正常的話，說明肝臟沒有到很嚴重的地步，可能會有肝臟早期的損傷，但是沒有到很嚴重的地步。 卵巢囊腫在臨床上沒有太好的方法，基本上都是做絕育手術來切除病變的卵巢的。確實目前麻醉手術的風險是比較高的，一般卵巢囊腫，只要沒有形成腫瘤，不會有明顯疼痛的癥狀的。 那我們可以給寶貝使用一些抗炎鎮(zhèn)痛和軟骨素的藥物，用藥以后應該癥狀會有很明顯的改善。

謝謝您的耐心解答，我剛拿到報告，有勞您看下，看用藥方面要不要調整，謝謝啦！

為保護用戶隱私不顯示圖片/視頻

juju家長您好，檢查指標上看確實沒有太大的問題，C反應蛋白指標也只是輕微的升高，目前可以考慮使用抗炎鎮(zhèn)痛的藥物和修復骨關節(jié)的軟骨素，肝臟指標并沒有明顯的升高，使用保肝藥物也沒有明顯的副作用。

呵呵，是的，填錯了，謝謝提醒哈。再想問下，飲食方面，它能吃麥片（不是即沖即食配方）紅著，南瓜，芹菜這些嗎？發(fā)病后新買的比瑞吉沁尿配方糧可能換糧時不規(guī)范，它消化不了肚脹，現(xiàn)在它不怎么喜歡吃糧了，喜歡吃米飯，所以我想每天改做雜糧飯加點肉給它，您看可行嗎？？

您說的紅薯，南瓜，芹菜這些都是可以進食的，可以自己做雜糧的飯，不過年齡大了，多少都會有口腔的問題，可以給寶貝進食的?？梢晕挂恍┤馐?，但是要精瘦肉，不能吃油膩的食物。

按它的情況，每天精瘦肉（雞胸肉）的攝入量和總飯量是多少比較合理呢？因為我一直都是每天盛一碗糧讓它自己隨便吃，想到現(xiàn)在它要減肥，不知道該怎把握份量，請指教。

要堅持少量多餐的喂食原則，精瘦肉是蛋白質類食物，而米飯屬于碳水化合物，如果吃得多很容易長胖，所以我們可以盡可能的控制一下進食的總量，這個不能提供一個準確的喂食量建議，我們可以適當減少一點點，慢慢地調整喂食的量，不能讓他完全吃飽。 平時也要注意口腔護理，看會不會有牙齒牙齦明顯的發(fā)炎，如果有的話就需要配合使用抗菌消炎的口腔噴劑。

醫(yī)生建議及處方根據(jù)當前病情給出，僅適用于本次問診

蘑菇寵醫(yī)處方箋

用法用量需根據(jù)患寵的年齡、體重等信息開具，此處方暫不展示

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